Healthcare Provider Details

I. General information

NPI: 1841982808
Provider Name (Legal Business Name): NEW ERA THERAPEUTIC COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6713 OLD JACKSONVILLE HWY STE 202
TYLER TX
75703-0753
US

IV. Provider business mailing address

6713 OLD JACKSONVILLE HWY STE 202
TYLER TX
75703-0753
US

V. Phone/Fax

Practice location:
  • Phone: 903-392-6455
  • Fax: 903-310-1026
Mailing address:
  • Phone: 903-707-2002
  • Fax: 903-310-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JONTERICA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 469-479-6685